| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ANETRA GAINES | 1063163525 | 2022-01-15 |
Anetra Gaines is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1063163525. Registration indicates Anetra Gaines is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Professional, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Professional, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Ms. Anetra Gaines LLPC |
| Practice Office Address | 2B S WASHINGTON ST OXFORD, MI US |
| Practice Office Telephone | 2488340614 |
| Mailing Address | 2B S WASHINGTON ST OXFORD, MI 483714971 US |
| Business Telephone | 2488340614 |
| Code | Practice | License No State |
|---|---|---|
| 101YP2500X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Professional Behavioral Health/Substance Abuse/Psychiatry Counselor Professional Behavioral Health & Social Service Providers Counselor | 6451022079
MI |